Medicare
Medicare Information
Medicare
Kendall & Associates Insurance Agency, Inc. is a privately-owned insurance agency specializing in Medicare Advantage, Medicare Part D, Medicare Supplement plans, annuities and final expense life insurance. We can help you find the best rates and coverage for all your senior health insurance needs.
Though Original Medicare is very expansive, at times you might feel that you want to have a greater diversity of benefits than standard coverage might offer.
To get the policy that is perfect for you, contact us today at 864-271-9125 or request your free quote now!
Common Medicare Advantage Questions
What are Medicare Advantage plans?
Original Medicare (Parts A & B) has coverage limits, cost-sharing requirements and provider networks that will influence the who, what, when and where of how patients can receive medical care. It will also stipulate how much you will pay for that care.
Sometimes, you might feel that Original Medicare doesn’t offer you truly the best coverage and cost benefits for the care you need to receive. That’s where Medicare Advantage plans can step in. These plans take all of the benefits of Original Medicare and make them more adjustable, while also offering coverage for certain care that Original Medicare doesn’t include. With Medicare Advantage, you will get more flexibility for the care you need, at costs you can afford.
How many Medicare Advantage plans are there?
Medicare Advantage plans are approved and regulated by the Medicare system. However, they are offered by various private insurers and come in various forms, including:
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HMOs (Health Maintenance Organizations)
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HMOPOS (HMO Point-of-Service)
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PPOs (Preferred Provider Organizations)
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PFFS (Private Fee-for-Service Plans)
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SNPs (Special Needs Plans)
All Advantage plans vary. They will include different provider networks, cost-sharing rules and premiums. Therefore, some will be better for you than others. Work with your agent to choose the plan that will offer you the most appropriate coverage for your medical goals.
What does Medicare Advantage cover?
Medicare Advantage plans must offer you nearly all of the same benefits as Original Medicare, and benefits will be subject to standards set by Medicare regulations.
Where they differ from Original Medicare is that they also offer expanded benefits like:
With these extra benefits, you can receive covered care for conditions that might not need attention now but could arise later.
How much does a Medicare Advantage plan cost?
Your Medicare Advantage plan’s price will vary based on the insurer and plan you choose. You will remain a participant in the Original Medicare program despite also having Medicare Advantage coverage. You must continue to pay your Medicare Part B premium in addition to the premium added by your Medicare Advantage plan.
Who qualifies for Medicare Advantage?
You must have both Original Medicare Part A & Part B coverage before you can enroll in a Medicare Advantage plan.
There are also only certain times that you can enroll in or make changes to a plan:
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Medicare Initial Enrollment: You can enroll in Advantage plans during initial enrollment. This is a seven-month period around your 65th birthday.
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Special Enrollment Periods: Depending on special circumstances, you might qualify for a special enrollment period for your Advantage plan.
Certain Medicare Advantage plans are not available in all areas, and if you qualify for Medicare because you have ESRD (End-stage Renal Disease), then you might not qualify for Medicare Advantage.
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